Srikar Karanam, DO
Emergency Medicine · Appleton, WINPI 1588034227
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $87,220 of the $87,772 with a category attached, or 99.4%. Takeda Pharmaceuticals U.S.A., Inc. accounts for 99.9% of it on its own, with 1 other manufacturer making up the rest. 2024 is the largest year on record at $50,969, more than ten times the $67 reported in 2019. Among emergency medicine clinicians in WI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 44 payments — averaging $1994.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$88K
- Johnson & Johnson$67
What the payments were for
- Consulting fees$87,22099%
- Travel & lodging$90%
- Food & beverage$670%
- Education$4751%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 43 | $87,704 |
| Johnson & Johnson | 1 | $67 |
How this compares
$87,772 in reported general payments places this provider in the 95th percentile of 1,034 emergency medicine providers in Wisconsin.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ondansetron OdtOndansetron | 30 | $278 |
| Cephalexin | 29 | $193 |
| Dicyclomine Hcl | 15 | $89 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $59 |
| Ciprofloxacin Hcl | 12 | $58 |
| Prednisone | 29 | $51 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Appleton
- Sean McCloyAppleton$2K
- Sarah HoletsAppleton$878
- Kirk DahlEau Claire$532K
- Robert BilkovskiGlendale$368K
- Joshua MouEdgerton$339K
- John Zerniala Crosse$245K
- Ayman NemrTomah$128K
- Benjamin Wedrola Crosse$90K
- Kerry AhrensGreen Bay$44K
- Edward BarthellMequon$31K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.